Provider Demographics
NPI:1962473215
Name:GUINTA, MICHELLE ANN (MSN RN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANN
Last Name:GUINTA
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Gender:F
Credentials:MSN RN FNP-C
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Mailing Address - Street 1:20 NE SAINT LUKES BLVD
Mailing Address - Street 2:STE. 200
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-6001
Mailing Address - Country:US
Mailing Address - Phone:816-347-5100
Mailing Address - Fax:816-347-5136
Practice Address - Street 1:20 NE SAINT LUKES BLVD
Practice Address - Street 2:STE. 200
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6001
Practice Address - Country:US
Practice Address - Phone:816-347-5100
Practice Address - Fax:816-347-5136
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2015-11-11
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Provider Licenses
StateLicense IDTaxonomies
MO145013363LF0000X
MEAP091033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q23355Medicare UPIN